Abstract

Abstract: Rectus sheath hematoma is a rare but well-known problem. Exercise, pregnancy, subcutaneous injection of insulin, abdominal surgery and severe coughs can be predisposing factors of hemorrhage in the mentioned muscle sheath. Here, we will discuss a case of rectus sheath hematoma in a 28 year-old female patient who presented to emergency department with complaint of abdominal pain and improved in 1 week with palliative care. Introduction: Rectus sheath hematoma is a rare but well-known problem (1, 2). Exercise, pregnancy, subcutaneous injection of insulin, abdominal surgery and severe coughs can be predisposing factors of hemorrhage in the mentioned muscle sheath (1-6). Acute abdominal pain and mass are among the most important clinical manifestations of rectus sheath hematoma that can be mistaken for cases such as appendicitis, abscesses and abdominal wall tumors, hernias, and diverticular diseases as well as gynecologic and urinary tract diseases in differential diagnosis (7, 8). Here, we will discuss a case of rectus sheath hematoma in a 28 year-old female patient who presented to emergency department with complaint of abdominal pain and improved in 1 week with palliative care.

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